Organization Active NPI

Terapia Fisica Elmar Inc.

  • Physical Therapy Clinic/Center
  • Arecibo, PR
National Provider Identifier
1811074958
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
153107 Issued in PR
Legal business name
TERAPIA FISICA ELMAR INC.
Practice address
Car 2 KM 62.8 Sector Candelaria
Bo Sabana Hoyos
Arecibo, PR 00612
Phone
(787) 975-7441
Fax
(787) 881-5572
NPI assigned
Nov 1, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emmanuelle Vendrell
Title
Administrator
Phone
(787) 224-4185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 153107 PR Primary

Addresses

Primary practice location

Car 2 KM 62.8 Sector Candelaria
Bo Sabana Hoyos
Arecibo, PR 00612

Mailing address

PO Box 144036
Arecibo, PR 00614-4036
Phone (787) 975-7441

Other identifiers 2

IdentifierTypeStateIssuer
B050OtherPRINTERNATIONAL MEDICAL CARD
1811074958OtherPRTHERAPY NETWORK PUERTO RICO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000304 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638211980 Receives reassigned benefits from 2 practitioners
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

40 Calle P Mora Acosta
Arecibo, PR 00612
Phone (787) 447-0747

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1811074958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144036",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144036",
            "telephone_number": "787-975-7441",
            "fax_number": "787-881-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 2 KM 62.8 SECTOR CANDELARIA",
            "address_2": "BO SABANA HOYOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-975-7441",
            "fax_number": "787-881-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERAPIA FISICA ELMAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "VENDRELL",
        "authorized_official_first_name": "EMMANUELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-224-4185"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "153107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CARD",
            "identifier": "B050",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY NETWORK PUERTO RICO",
            "identifier": "1811074958",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.